Common Causes
Published
ED can result from physical, psychological, or lifestyle factors:
- Blood vessel problems (high blood pressure, atherosclerosis, heart disease)
- Diabetes
- Hormonal issues (low testosterone)
- Neurological disorders (stroke, multiple sclerosis, spinal cord injury)
- Medications (some antidepressants, blood pressure medications, etc.)
- Smoking, excessive alcohol use, or drug use
- Stress, anxiety, depression, or relationship difficulties
Symptoms
- Difficulty getting an erection
- Difficulty maintaining an erection
- Reduced sexual desire (sometimes)
Treatment Options
Treatment depends on the cause and may include:
- Lifestyle changes (exercise, weight loss, quitting smoking, limiting alcohol)
- Counseling or therapy for psychological factors
- Oral medications such as Sildenafil, Tadalafil, or Vardenafil
- Hormone therapy when appropriate
- Vacuum erection devices
- Penile injections or implants in selected cases
When to See a Doctor
You should seek medical evaluation if:
- ED occurs repeatedly or persists for several weeks or months
- It is causing distress or affecting relationships
- You have risk factors such as diabetes, high blood pressure, or heart disease
- You have symptoms of low testosterone (fatigue, reduced libido, loss of muscle mass)
